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20 January 2004

Implications of Regional Differences in Spending

Author: Rudy Fernandes, BSc (Hon)Author, Article, & Disclosure Information
Publication: Annals of Internal Medicine
Volume 140, Number 2
https://doi.org/10.7326/0003-4819-140-2-200401200-00021
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TO THE EDITOR:
The recent articles by Fisher and colleagues (1, 2) highlighting the implications of regional variations in Medicare spending have added to our understanding of the importance of effective medical spending. The authors should be applauded for challenging the general assumption that additional spending on health services will necessarily provide important health benefits.
It is interesting to note that these findings seem to complement a Canadian study by Zelder (3), which found that regions with higher overall government health spending per capita had no effect on reducing patient waiting times. However, the Zelder study did note that …

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References

1.
Fisher ES, Wennberg DE, Stukel TA, Gottlieb DJ, Lucas FL, Pinder EL. The implications of regional variations in Medicare spending. Part 1: the content, quality, and accessibility of care. Ann Intern Med. 2003;138:273-87. [PMID: 12585825]
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2.
Fisher ES, Wennberg DE, Stukel TA, Gottlieb DJ, Lucas FL, Pinder EL. The implications of regional variations in Medicare spending. Part 2: health outcomes and satisfaction with care. Ann Intern Med. 2003;138:288-98. [PMID: 12585826]
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3.
Zelder M. Fraser Forum, Canada, 2003.
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4.
Michaud CM, Murray CJ, Bloom BR. Burden of disease—implications for future research. JAMA. 2001;285:535-9. [PMID: 11176854]
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Information

Published In

cover image Annals of Internal Medicine
Annals of Internal Medicine
Volume 140 • Number 2 • 20 January 2004
Pages: 146 - 147

History

Published online: 20 January 2004
Published in issue: 20 January 2004

Keywords

  1. Age groups
  2. Drugs
  3. Forecasting
  4. Health care
  5. Medical services
  6. Medicare

Copyright

© 2004 American College of Physicians.

Authors

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Rudy Fernandes, BSc (Hon)
From Mississauga, Ontario L4W 2G6, Canada.
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Rudy Fernandes. Implications of Regional Differences in Spending. Ann Intern Med.2004;140:146-147. [Epub 20 January 2004]. doi:10.7326/0003-4819-140-2-200401200-00021

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